Sumie MacAlpine-Downie Verified Professional Verified Professional
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COSRT Acc Dip. Couns. B.A. (Hons)

About me

An experienced, accredited counsellor and therapist offering counselling, relationship and sex therapy to individuals and couples on the Cobham/Oxshott border.

Training, qualifications & experience

As an accredited member of the College of Sex and Relationship Therapists (COSRT), I am bound by and adhere to their professional Code of Ethics and Practice. I am fully insured.


  • Postgraduate Diploma in Psychosexual and Relationship Therapy - accredited through the University of Middlesex and approved by COSRT and the National Council for Psychotherapy (NCP)
  • Postgraduate Diploma in Integrative Therapeutic Counselling - accredited by the Counselling and Psychotherapy Central Awarding Body (CPCAB)
  • Certificate in Counselling Skills

I have been working with individuals and couples in both a private and clinical setting for over ten years.

Professional Membership

  • COSRT Accredited Membership


  • SHSWL Falcon Road NHS Sexual Health Clinic as a Psychosexual Therapist. I saw patients as individuals and couples treating a variety of sexual issues.
  • SHSWL Balham NHS as a Psychosexual Therapist. I saw patients as individuals treating various sexual issues.
  • Courtyard Clinic at St George's Hospital, Tooting as a Psychosexual Therapist . I have particular experience working with women who experience pain and discomfort during sex (vaginismus/dyspareunia), men who have erectile and ejaculatory difficulties, and with loss of orgasmic/arousal difficulties and low libido.
  • Ealing Abbey Counselling Service, London as a Psychosexual and Relationship Therapist working with couples with relationship and sexual difficulties
  • Cobham, Surrey where I see individuals and couples in private for a wide range of issues. I have particular experience in working with sexual dysfunctions, psychosexual and relationship issues as well as general anxiety and co-dependence.

Personal Approach
I work within an integrated framework that draws on a range of counselling theories, approaches and techniques: Psychodynamic Therapy, Existential Psychotherapy, Gestalt Therapy and Imago Therapy. I consider my way of working with people (individually, in couples, sex therapy) as providing an individual approach that is personalised around you and your needs and issues. I work with adults of all ages providing long and short term counselling and psychotherapy.

Member organisations


British Association for Counselling & Psychotherapy (BACP)

BACP is one of the UK’s leading professional bodies for counselling and psychotherapy with around 60,000 members. The Association has several different categories of membership, including Student Member, Individual Member, Registered Member MBACP, Registered Accredited Member MBACP (Accred) and Senior Registered Accredited Member MBACP (Snr Acccred).

Registered and accredited members are listed on the BACP Register, which shows that they have demonstrated BACP’s recommended standards for training, proficiency and ethical practice. The BACP Register was the first register of psychological therapists to be accredited by the Professional Standards Authority (PSA).

Accredited and senior accredited membership are voluntary categories for members who choose to undertake a rigorous application and assessment process to demonstrate additional standards around practice, training and supervision.

Individual members will have completed an appropriate counselling or psychotherapy course and started to practise, but they won’t appear on the BACP Register until they've demonstrated that they meet the standards for registration. Student members are still in the process of completing their training.

All members are bound by the BACP Ethical Framework and a Professional Conduct Procedure.

Accredited register membership

British Association for Counselling & Psychotherapy

Accredited Register Scheme

The Accredited Register Scheme was set up in 2013 by the Department of Health (DoH) as a way to recognise organisations that hold voluntary registers which meet certain standards. These standards are set by the Professional Standards Authority (PSA).

This therapist has indicated that they belong to an Accredited Register.

British Association for Counselling & Psychotherapy

Other areas of counselling I deal with

I have specialist training in psychosexual and relationship therapy working with individuals and couples. Specialist psychosexual therapy covers a broad range of issues including erectile dysfunction, painful sex (dyspareunia), contractions in vaginal muscles (vaginismus), mismatched libidos, loss of or reduced desire, infidelity, arousal issues, communication issues, porn or sex addiction.

Also known as sex therapy, it can help you alleviate your discomfort, gain peace of mind and improve your mental well-being and sexual relationships. By providing you also with real tools to incorporate into your daily relationships, it can help you and your partner discover a more fulfilling way to live your life together.


£70.00 per session

Additional information

Duration - Individual and couples' sessions are of 60 minutes duration.

Fees - £70.00 per session (60 minutes).
The fee is the same whether you attend as an individual or a couple.

Location - My office is located on the Cobham/Oxshott border in Surrey and is 100% private and quiet.

Therapy can enhance your life and relationships for the better but it is also challenging and requires a serious commitment and undertaking so at our first assessment session we will:

  • consider what your hopes, aims and goals are
  • decide whether individual counselling is the most helpful way forward for you at this time
  • agree a suitable time and day for our weekly sessions.

By attending the first assessment you are not committing yourself to continue with regular sessions - the choice whether to do so if completely under your control.

When I work

Mon - Fri 10:00 - 21:00

Further information

Common problems for individuals that I can help with:

  • I feel stressed and anxious most of the time and it's affecting my work and relationships
  • I'm taking anti-depressants and need help to cope
  • I find it difficult to communicate with others or be assertive
  • I can't find any meaning or aims in life
  • I have difficulties in my sex life
  • I'm worried that I (or someone I know) might be an addict
  • I have relationship problems with my family (or friends or work colleagues)
  • I'm going through an emotional crisis
  • I'm dissatisfied with my life and I don't know why.

Common issues dealt with in couples' therapy include

  • communication - do you often argue over petty things or the same unresolved important issues?
  • intimacy - do you wish you could be closer or more affectionate together?
  • jealousy - do you or your partner suffer from a lack of trust or intrusive jealous thoughts?
  • infidelity - have you or your partner been involved with someone else?
  • sex - have either of you experienced recent or continued sexual difficulties?
  • commitment - are either of you unsure about compatibility or whether you want to stay together?

Cobham, Surrey, KT11

Type of session


Types of client

Older adults

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